| Mickie G Autry, ACNP | |
|
830 S Gloster St, Ste 2, Tupelo, MS 38801-4934 | |
| (662) 377-7100 | |
| (662) 377-5736 |
| Full Name | Mickie G Autry |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 830 S Gloster St, Tupelo, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801848494 | NPI | - | NPPES |
| 07420783 | Medicaid | MS | |
| P01112717 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | R873990 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mickie G Autry, ACNP Po Box 3488, Tupelo, MS 38803-3488 Ph: (601) 326-6401 | Mickie G Autry, ACNP 830 S Gloster St, Ste 2, Tupelo, MS 38801-4934 Ph: (662) 377-7100 |
Nicole Sherice Taylor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 845 South Gloster Street, Tupelo, MS 38801 Phone: 662-377-5930 | |
Mrs. Rebecca Perry Ward, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4381 South Eason Blvd, Longtown Medical Park, Tupelo, MS 38801 Phone: 662-377-7354 Fax: 662-377-5301 | |
Ms. Wanda Ikeda, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801 Phone: 662-620-6800 Fax: 662-377-2403 | |
Mrs. Tina King, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1573 Medical Park Cir, Tupelo, MS 38801 Phone: 662-844-9885 Fax: 662-842-1350 | |
Anna Danielle Woodruff, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 499 Gloster Creek Vlg Ste H3, Tupelo, MS 38801 Phone: 662-840-6026 Fax: 662-840-6030 | |
Jennifer L Taylor, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 205-412-0585 | |
Kalisa Mickell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-3000 |